KATHLEEN M HENNESSY (NPI# 1124357678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124357678 |
| Entity Type | Individual |
| Full Name | KATHLEEN M HENNESSY |
| Practice Address |
6160 Sw Arctic Dr Beaverton OR 97005-9448 |
| Mailing Address |
Po Box 66500 Portland OR 97290-6500 |
| Practice Telephone | 5036467777 |
| Mailing Telephone | 5036578663 |
| Mailing Fax Number | 5037233180 |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2009-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 146154 | OR | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285884551 | Kathleen Jane Hennessy | Physical Therapist | 21514 Cormorant Cove Dr, Land O Lakes, FL 34637-7523 | 2008-09-24 |
| 1700496437 | Kathleen Puanani Hennessy | Pharmacist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-06 |
| Street Address |
6160 SW ARCTIC DR |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-9448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023086535 | Sourceone Medical Inc | Durable Medical Equipment & Medical Supplies | 6160 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2006-03-09 |
| 1609197904 | Paul Gylling | Radiologic Technologist | 6160 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2010-06-21 |
| 1770815284 | Paul E Hinton | Radiologic Technologist | 6160 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2010-02-08 |
| 1366774952 | James A Nancarrow | Radiologic Technologist | 6160 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2010-02-05 |
| 1992036586 | Barbara J Rich | Radiologic Technologist | 6160 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2010-01-20 |
| 1619208667 | Thomas H Manseau | Radiologic Technologist | 6160 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2010-01-14 |
| 1043540743 | Douglas Hill | Radiologic Technologist | 6160 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2010-01-04 |
| 1083942247 | Melissa Brown | Radiologic Technologist | 6160 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2009-11-30 |
| 1801123153 | Donald Buck | Radiologic Technologist | 6160 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2009-11-06 |
| 1962738450 | Robert Peter Goyette | Radiologic Technologist | 6160 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2009-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609197904 | Paul Gylling | Radiologic Technologist | 6160 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2010-06-21 |
| 1770815284 | Paul E Hinton | Radiologic Technologist | 6160 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2010-02-08 |
| 1366774952 | James A Nancarrow | Radiologic Technologist | 6160 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2010-02-05 |
| 1992036586 | Barbara J Rich | Radiologic Technologist | 6160 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2010-01-20 |
| 1619208667 | Thomas H Manseau | Radiologic Technologist | 6160 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2010-01-14 |
| 1043540743 | Douglas Hill | Radiologic Technologist | 6160 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2010-01-04 |
| 1083942247 | Melissa Brown | Radiologic Technologist | 6160 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2009-11-30 |
| 1801123153 | Donald Buck | Radiologic Technologist | 6160 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2009-11-06 |
| 1790018885 | Kevin Michael Robinson | Radiologic Technologist | 6160 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2009-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386920767 | Jennifer Jade Smith | Radiologic Technologist | 1813 W Harvard Ave Ste 432, Roseburg, OR 97471-8705 | 2011-10-28 |
| 1528369899 | Terry Lee Mcmichael | Radiologic Technologist | 1050 W Elm Ave, 110, Hermiston, OR 97838-2700 | 2010-11-03 |
| 1669788923 | Kristen Fay | Radiologic Technologist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2010-08-25 |
| 1659607778 | Sarah K Kinnie | Radiologic Technologist | 735 Nw 19th Ave, Portland, OR 97209-1301 | 2009-10-23 |
| 1134381726 | Jason Lee Phillips | Radiologic Technologist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2008-06-26 |
| 1699942011 | Brenda M Faller | Radiologic Technologist | 545 Ne 47th Ave, Suite 215, Portland, OR 97213-2238 | 2008-05-14 |
| 1063565018 | Andrea Gayle Whetsell | Radiologic Technologist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2007-01-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.